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1740514892
DANIEL IBARRA-TAYLOR
PROVO, UT
NPI
1740514892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 74247635-1206)
Enumeration Date
2009-09-22
Last Update Date
2023-11-27
Business Address
DANIEL IBARRA-TAYLOR PA
1055 N 500 W STE 100
PROVO, UT 84604-3305
Phone number: 801-374-1268
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Mailing Address
DANIEL IBARRA-TAYLOR PA
1055 N 500 W CREDENTIALING DEPARTMENT
PROVO, UT 84604-3305
Phone number: 801-354-8225
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